Iris Sullivan is a Family Medicine in Fitchburg, Massachusetts. Iris Sullivan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Iris Sullivan is 1780640961. The last update date is 2009-07-09.
Iris Sullivan's current location address is 64 Whalon Street, Fitchburg, Massachusetts. You can contact this provider via phone number 9788090037 and fax number 9788290048. The mailing address for Iris Sullivan is 64 Whalon Street, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iris Sullivan |
|---|---|
| Address | 64 Whalon Street, Fitchburg, Massachusetts |
| Phone Number | 9788090037 |
| Fax Number | 9788290048 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780640961 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2009-07-09 |
Provider Mailing Address Detail
| Address | 64 Whalon Street |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 1420 |
| Phone Number | 9788090037 |
| Fax Number | 9788290048 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 156837 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3183378 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Iris Sullivan by the Centers for Medicare & Medicaid Services?
The Iris Sullivan has been issued the NPI (National Provider Identifier) 1780640961, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Iris Sullivan is geographically located?
The Iris Sullivan is physically situated at the following location: 64 Whalon Street, Fitchburg, MA, 1420.
What is the Iris Sullivan's specialty and taxonomy code?
The Iris Sullivan's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1780640961 assigned to Iris Sullivan?
The Iris Sullivan was issued its 1780640961 on 2006-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Iris Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Iris Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-07-09.